MEDICARE: MELISSA L WELCH APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11032855	FL
2	363LG0600X	Gerontology Nurse Practitioner	APRN11032855	FL

General Provider Information

NPI Number	:	1609378868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA L WELCH APRN

Provider Business Mailing Address
First Line	:	551 DUCHESS CT
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33803-4688
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	199 AVENUE B NW STE 310
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-4546
Country	:	US
Telephone Number	:	863-284-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2018
Last Update Date	:	01/19/2026

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